ACO NAME AND LOCATION
agilon health Mid-Atlantic ACO, Inc.
d/b/a Senior Health Connect ACO 5
6210 E. Highway 290, STE 450
Austin, TX 78723
ACO PRIMARY CONTACT
Eric Becker, ACO Executive
[email protected]
562-256-3800
ACO HOURS OF OPERATION
11 am – 8 pm EST
PARTICIPANTS AND PREFERRED PROVIDERS
There are no joint ventures between Senior Health Connect ACO 5 and any of its Participating Providers or Preferred Providers and Facilities.
CLINICAL AND ADMINISTRATIVE LEADERS
- ACO Executive: Eric Becker, agilon health
- ACO Head of Operations: Quenyona Patterson, agilon health
- Chief Compliance Officer: Kimberly Busenbark, Wilems Resource Group
- Chief Technology Officer: Girish Venkatachaliah, agilon health
- Finance Director: Kenny Bellendir, agilon health
- Chief Legal Officer: Denise Zamore, agilon health
- Quality Improvement Leader: Adina Guthrie, agilon health
- Medical Director: Michael Daley, MD, Pinehurst Medical Clinic
GOVERNING BODY
- Michael Daley, MD, Chair & Medical Director, Voting Member, Pinehurst Medical Clinic, 25%
- Jennifer Szurgot, MD, Voting Member, Pinehurst Medical Clinic, 25%
- Brandon Enfinger, Voting Member, Pinehurst Medical Clinic, 25%
- Ravi Sachdev, Voting Member, Partner of Clayton, Dubilier & Rice, 5%
- Karthik Rao, MD, Voting Member, Senior Medical Director of agilon health, 5%
- Kenny Bellendir, Voting Member, SVP Finance of agilon health, 5%
- George Little, Consumer Advocate, Voting Member, Self-employed, 5%
- Bill Murphy, Medicare Beneficiary, Voting Member, Retired, 5%
SHARED SAVINGS AND LOSSES RESULTS
AMOUNT OF SHARED SAVINGS/LOSSES:
- First Agreement Period
- Performance Year 2022: $14,088,922.23
SHARED SAVINGS DISTRIBUTION:
- First Agreement Period
- Performance Year 2022
- Portion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: 45%
- Portion of Shared Savings Distribution of Participant Providers and Preferred Providers: 55%
- Performance Year 2022
QUALITY PERFORMANCE RESULTS
2022 QUALITY PERFORMANCE RESULTS:
Quality performance results are based on Medicare claims submitted for items and services furnished to ACO Beneficiaries.
- Overall Quality Score: 100%
- Risk-Standardized, All-Condition Readmission Rate (ACR): 14.88
- Risk-Standardized, All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC): 31.68
- Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU): 76.10
CAHPS for ACO Survey Measures | Reported Performance Rate | Current Year Mean Performance Rate (REACH ACOs) | |
Getting Timely Appts, Care, & Information | 87.65 | 81.97 | |
How Well Providers Communicate | 94.96 | 93.10 | |
Care Coordination | 88.56 | 84.70 | |
Shared Decision Making | 62.37 | 61.56 | |
Patient Rating for Provider | 93.19 | 91.74 | |
Courteous & Helpful Office Staff | 94.60 | 91.10 | |
Health Promotion & Education | 58.84 | 61.84 | |
Stewardship of Patient Resources | 26.27 | 24.96 |
For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov.
D0156_REACHPubDiscTempv2_IA 04/01/24